Maternal child exam 2 with all correct 254 ANSWERS
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Maternal child
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Maternal Child
Maternal child exam 2 with all correct 254 ANSWERS.
Maternal child exam 2 with all correct 254 ANSWERS.
Maternal child exam 2 with all correct 254 ANSWERS.
Maternal child exam 2 with all correct 254 ANSWERS.
Maternal child exam 2 with all correct 254 ANSWERS.
Maternal child exam 2 with all cor...
Maternal child exam 2 with all correct
254 ANSWERS.
Maternal child exam 2 with all correct
254 ANSWERS.
The nurse case manager is planning a care conference about a young child who has
complex health care
needs and will soon be discharged home. Whom should the nurse invite to the
conference?
a. Family and nursing staff
b. Social worker, nursing staff, and primary care physician
c. Family and key health professionals involved in childs care
d. Primary care physician and key health professionals involved in childs care - ANS: C
A multidisciplinary conference is necessary for coordination of care for children with
complex health needs.
The family and key health professionals who are involved in the childs care are
included. The nursing staff can
address the nursing care needs of the child with the family, but other involved
disciplines must be included.
The family must be included in the discharge conferences, which allow them to
determine what education they
will require and the resources needed at home. A member of the nursing staff must be
included to review the
nursing needs of the child.
Lindsey, age 5 years, will be starting kindergarten next month. She has cerebral palsy,
and it has been
determined that she needs to be in a special education classroom. Her parents are
tearful when telling the nurse
about this and state that they did not realize that her disability was so severe. The best
interpretation of this
situation is that:
a. This is a sign that parents are in denial.
b. This is a normal anticipated time of parental stress.
c. The parents need to learn more about cerebral palsy.
d. The parents are used to having expectations that are too high. - ANS: B
Parenting a child with a chronic illness can be very stressful for parents. There are
anticipated times that
parental stress increases. One of these identified times is when the child begins school.
Nurses can help parents
recognize and plan interventions to work through these stressful periods. The parents
are not in denial; they are
responding to the childs placement in school. The parents are not exhibiting signs of a
knowledge deficit or
,Maternal child exam 2 with all correct
254 ANSWERS.
expectations that are too high; this is their first interaction with the school system with
this child.
Approach behaviors are coping mechanisms that result in a familys movement toward
adjustment and
resolution of the crisis of having a child with a chronic illness or disability. What is
considered an approach
behavior in parents?
a. Are unable to adjust to a progression of the disease or condition
b. Anticipate future problems and seek guidance and answers
c. Look for new cures without a perspective toward possible benefit
d. Fail to recognize seriousness of childs condition despite physical evidence - ANS: B
The parents who anticipate future problems and seek guidance and answers are
demonstrating approach
behaviors. They are demonstrating positive actions in caring for their child. Avoidance
behaviors include being
unable to adjust to a progression of the disease or condition, looking for new cures
without a perspective
toward possible benefit, and failing to recognize the seriousness of the childs condition
despite physical
evidence. These behaviors would suggest that the parents are moving away from
adjustment or adaptation in
the crisis of a child with chronic illness or disability.
Families progress through various stages of reactions when a child is diagnosed with a
chronic illness or
disability. After the shock phase, a period of adjustment usually follows. This is often
characterized by:
a. Denial. c. Social reintegration.
b. Guilt and anger. d. Acceptance of Child’s limitations. - ANS: B
For most families, the adjustment phase is accompanied by several responses that are
normally part of the
Adjustment process. Guilt, self-accusation, bitterness, and anger are common
reactions. The initial diagnosis of
A chronic illness or disability often is often met with intense emotion and characterized
by shock and denial.
Social reintegration and acceptance of the child’s limitations is the culmination of the
adjustment process.
The nurse comes into the room of a child who was just diagnosed with a chronic
disability. The child’s
Parents begin to yell at the nurse about a variety of concerns. The nurse’s best
response is:
a. What is really wrong?
,Maternal child exam 2 with all correct
254 ANSWERS.
Test Bank - Maternal Child Nursing Care by Perry (6th Edition, 2017) 579
B. Being angry is only natural.
C. Yelling at me will not change things.
d. I will come back when you settle down. - ANS: B
Parental anger after the diagnosis of a child with a chronic disability is a common
response. One of the most
Common targets for parental anger is members of the staff. The nurse should recognize
the common response
Of anger to the diagnosis and allow the family to ventilate. What is really wrong? Yelling
at me will not change
Things, and I will come back when you settle down are all possible responses, but they
are not the likely
Reasons for this anger.
A common parental reaction to a child with special needs is parental overprotection.
Parental behavior
Suggestive of this includes:
a. Giving inconsistent discipline.
b. Providing consistent, strict discipline.
c. Forcing child to help self, even when not capable.
d. Encouraging social and educational activities not appropriate to Childs level of
capability. - ANS: A
Parental overprotection is manifested by the parents’ fear of letting the child achieve
any new skill, avoiding all
discipline, and catering to the child’s every desire to prevent frustration. The
overprotective parents usually do
not set limits and or institute discipline, and they usually prefer to remain in the role of
total caregiver. They do
not allow the child to perform self-care or encourage the child to try new activities.
Most parents of children with special needs tend to experience chronic sorrow. This is
characterized by:
a. Lack of acceptance of the childs limitation.
b. Lack of available support to prevent sorrow.
c. Periods of intensified sorrow when experiencing anger and guilt.
d. Periods of intensified sorrow and loss that occur in waves over time. - ANS: D
Chronic sorrow is manifested by feelings of sorrow and loss that recur in waves over
time. The sorrow is in
response to the recognition of the childs limitations. The family should be assessed in
an ongoing manner to
provide appropriate support as the needs of the family change. The sorrow is not
preventable. The chronic
sorrow occurs during the reintegration and acknowledgment stage.
, Maternal child exam 2 with all correct
254 ANSWERS.
Which intervention will encourage a sense of autonomy in a toddler with disabilities?
a. Avoiding separation from family during hospitalizations
b. Encouraging independence in as many areas as possible
c. Exposing child to pleasurable experiences as much as possible
d. Helping parents learn special care needs of their child - ANS: B
Encouraging the toddler to be independent encourages a sense of autonomy. The child
can be given choices
about feeding, dressing, and diversional activities, which will provide a sense of control.
Avoiding separation
from family during hospitalizations and helping parents learn special care needs of their
child should be
practiced as part of family-centered care. They do not particularly foster autonomy.
Exposing the child to
pleasurable experiences, especially sensory ones, is a supportive intervention. It does
not particularly support
autonomy.
The feeling of guilt that the child caused the disability or illness is especially critical in
which child?
a. Toddler c. School-age child
b. Preschooler d. Adolescent - ANS: B
Preschoolers are most likely to be affected by feelings of guilt that they caused the
illness/disability or are
being punished for wrongdoings. Toddlers are focused on establishing their autonomy.
The illness will foster
dependency. The school-age child will have limited opportunities for achievement and
may not be able to
understand limitations. Adolescents are faced with the task of incorporating their
disabilities into their
changing self-concept.
Chris, age 9 years, has several physical disabilities. His father explains to the nurse that
his son
concentrates on what he can rather than cannot do and is as independent as possible.
The nurses best
Test Bank - Maternal Child Nursing Care by Perry (6th Edition, 2017) 581
interpretation of this is:
a. The father is experiencing denial.
b. The father is expressing his own views.
c. Chris is using an adaptive coping style.
d. Chris is using a maladaptive coping style. - ANS: C
The father is describing a well-adapted child who has learned to accept physical
limitations. These children
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